Individual
LANAI MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NE MARTIN LUTHER KING JR BLVD STE C, PORTLAND, OR 97212-3976
(503) 701-5380
Mailing address
3532 SE 26TH AVE, PORTLAND, OR 97202-2901
(503) 701-5380
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC169628
OR
Other
Enumeration date
12/06/2014
Last updated
02/13/2020
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